A nurse is monitoring a client who is receiving a blood transfusion. The client reports, “My skin itches and I feel flushed.” Which of the following actions should the nurse take?

A. Remove the peripheral IV site: The IV site should be maintained with normal saline to keep access open for potential emergency medications or further treatment. Removing it too early may hinder urgent intervention. B. Infuse 0.9% sodium chloride through the infusion set tubing: Normal saline should be infused after stopping the transfusion, but it must be done through new tubing to avoid continued exposure to the blood product. C. Stop the transfusion of the blood: Itching and flushing are signs of a mild allergic transfusion reaction. The immediate priority is to stop the transfusion to prevent the reaction from progressing. This action helps prevent further antigen exposure. D. Monitor the client's vital signs every 30 min: While vital sign monitoring is important, it is not the first or most urgent action. The priority is to stop the transfusion and address the reaction promptly.